364 
Motion for Inducting the, Rev. Dr, 
M‘Farlane into the Ministry of the High 
Church of that City. 8vo. 1s, 6d. 
Aids to Reflection, in a series of Pru- 
dential, Moral, and Spiritual Aphorisms, 
extracted chiefly from the works of Arch. 
bishop Leighton, with Notes and Re- 
marks, by S. 'T. Coleridge, esq. 
A Sermon, preached at St. Chad’s, 
Medical Report. 
[Nov. 1, 
Shrewsbury ; by the Rev. E. Bather. 8vo. 
1s. 6d. 
An Enquiry into the Accordancy of 
War with Principles of Christianity, 
&c. 8yv0. 5s. 
The Approach of the Latter Days, in 
four Dissertations on the following sub- 
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MEDICAL REPORT. 
Report of Diseases and Casuarries occurring inthe public and private Practice 
of the Physician who has the care of the Western District of the City Dispensary. 
—z>— 
EVERS of a low and typhoid kind 
have proved pretty frequent during 
the few past weeks, @nd in some instances 
they have assumed an aspect of much ma- 
lignity, their types and tendencies varying, 
however, with circumstances, to a very 
considerable extent; thus serving to ren- 
‘der their management, if it may be so 
said, compound and complicated; and 
to prove the futility of all attempts that 
are made by theorizing pathologists to 
simplify the source and define the seat of 
febrile derangement. 
The question, indeed, What is fever? 
may be replied to by the interrogatory 
—What is it not ? The brain, the stomach, 
the liver, the every-thing, being sometimes 
engaged with the disordered manifesta- 
tion; while, at other times, the essence of 
the derangement shall run through, as it 
were, the whole of the organization, 
without any traceable locality, either in 
the way of canse, or course, or incident, 
or consequence. 
_ In instances where the oppression is 
extreme, and where, notwithstanding, sti- 
mulants are inadinissible, the Reporter 
has found his account in administering the 
mineral acids: two or three minims of 
the muriatic acid, with the same quantity 
of the nitric, and a drachm or more of 
syrup of white poppy, will occasionally 
prove a powerful febrifuge,* checking the 
tendency to what used to be called 
putrefaction, and supporting without per- 
turbing the oppressed and almost sino- 
thered energies of the frame ;—oppressed 
energies, the writer says, since it is of 
importance to recollect, while instituting 
_* Opium is much oftener required than 
it is admissible in fever; poppy even is 
too apt to produce congestion in the 
brain, and dispose to constipation of the 
bowels; but it is a fact of much practical 
importance, that opiates of all kinds are 
less likely to prove injurious when given 
in conjunction with acids than when ad- 
ministered without these guards against 
their deleterious agency. It is likewise 
proper to remark, that opiates and stimu- 
lants are then the most safe and salutary 
in fevers, when the skin is in an open and 
perspirable state, 
our remedial processes, that fever is a 
state not properly of exhausted, but rather 
of suspended, power. The scliocl of de- 
bility and stimulation which refased to 
recognize this principle has, it is to be 
feared, much to answer for, although it 
must be admitted that signal success not 
seldom attended those plans of treatment © 
which practitioners now shrink from, 
under the feeling that their adoption. im- 
plies a boldness of conduct unautho- 
rized by principle, and unwarranted, by 
experience, 
A German physician, who some thirty 
years since came amongst us as an ob- 
server, expressed his astonishment at the 
frequently happy consequences of what 
he was pleased to consider and call the 
empirical practice of the British, “TIT 
saw (he says) bark administered in ob- 
viously gastric disorders, and yet the 
patients recovered.” At present, were our 
continental friends to visit England, they 
would find a prevalence of gastricism to 
their hearts’ content; but it is worthy of 
remark, that both then and now, under 
the sneers and revilings of our ingenious 
Gallic and laborious German rivals, we 
have been found to meet the intricacies 
of disease with larger success than our 
criticising opponents, and, if the battle be 
won, the vanquished may be left to spe- 
culate as they please upon how it ought to 
have been otherwise. Seriously, it is 
matter of self-congratulation, (to what- 
ever cause it may be ascribed, and we ate 
of course willing to set it down to the 
ready discernment and generalizing good 
sense of our compatriots,) it is matter of 
self-congratulation, that the medical prac- 
tice of Britain, even in spite of the oc- 
casional obstacles of a false and mischie- 
vous theory, has ever proved of good 
report when extensive estimates have 
been gone into with a view to ascertam 
comparative results.* 
Bedford-row ; 
Oct. 20, 1893. 
* In the last formidable influenza, the 
deaths were in a larger proportion at 
Paris than at London, although the force 
of the disease was as great in the latter as 
in the former city. 
MONTHLY 
D. Uwins, M.D. 
